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The Hair Loss Articals And News Archive - Tricophytic Closure Vs. Non-Tricophytic Closure Skip to content
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Home arrow List of all articales arrow Tricophytic Closure Vs. Non-Tricophytic Closure
Tricophytic Closure Vs. Non-Tricophytic Closure PDF Print E-mail
Wednesday, 13 December 2006

Over the past several years our office has evolved from a primarily STRIP-oriented practice to a primarily FIT-oriented practice. We find the calculated densities (hairs per graft) with FIT to be better than those of any strip procedure that we know of. Moreover, we find that FIT leaves a consistently better donor area than any strip surgery we know of. Still, there are some patients are in fact good candidates for STRIP as well as FIT. These patients are typically 40 years old or older, have stable and moderate hair loss, do not intend to ever clip there hair short, and desire a large number of grafts in a single day. While we recognized the STRIP harvest as a good solution for a small subset of patients, we object to its application in all cases. This is so with tricophytic strip harvest as well.

Recently the tricophytic closure has been marketed as a technique whereby strip scarring is rendered invisible or nearly invisible. With this closure technique rows of follicles are transected along one of the lips of the incision and the wound is closed. If the incision heals to a 1-2 mm width, some of these transected follicles will grow through the scar and camouflage it to some degree. While this can be beneficial, it can place follicles at risk. Furthermore, the hair angle distortion associated with strip harvesting is not negated with tricophytic closure. In fact this may be amplified with the misaligned hairs growing through the scar tissue. If the scar heals wider than expected, the benefit of the tricophytic approach is nil while issue of hair wastage persist. Therefore tricophytic closure has a limited indication within the already small subset of patient who are STRIP candidates.

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